Facial neuritis causing ear pain can be considered to present as Hunt syndrome, which is caused by herpes zoster virus infection with edema and degeneration of the facial nerve. Hunt’s syndrome is caused by herpes zoster virus infection, which primarily infects the facial nerve site in the geniculate ganglion. Viral infection can lead to facial nerve edema, degeneration, if there is viral demyelinating lesions can cause facial nerve excitatory conduction disorder. Clinical manifestations include earache, herpes in the ear and peripheral facial paralysis, with severe earache at the early stage of the disease, herpes in the external auditory canal, auricular cavity, periauricular area, face, etc., and there may be a crooked angle of the mouth, eye closure disorders and other manifestations. When earache caused by facial neuritis is diagnosed, timely treatment is recommended to restore facial nerve function as much as possible.